Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAWRENCE RICHARD JACKSON JR. MD
Active OrganizationLAWRENCE RICHARD JACKSON JR. MD is a Family Medicine organization located in WAVERLY, Tennessee. NPI 1104021203 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WAVERLY, TN
Registration Details
- NPI Number
- 1104021203
- Provider Type
- Organization
- NPI Issued
- Jun 19, 2007 (19.149037787004 yrs)
- Last Updated
- Nov 21, 2025
Practice Information
- Address
-
104 HILLWOOD DRWAVERLY, TN, 371852116Browse TN providers · Browse ZIP 37185
- Phone
- 9312963555
- Fax
- 9312969085
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.